Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. MARY BROOKE CALITRI
NPI 1457149221
Physician Assistant in Venice, FL

Q: What is Mary Calitri's NPI number?

The NPI number for Mary Calitri is 1457149221. It was assigned to this individual provider in the NPPES registry on April 30, 2025.

Q: What is Mary Calitri's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Calitri was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 30, 2025PECOS Enrolled

1700 E VENICE AVE, VENICE, FL 34292(941) 483-9760(941) 483-9775 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2026, Dec 5, 2025 (2 updates tracked since 2025).

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About Ms. Mary Brooke Calitri NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MARY BROOKE CALITRI (NPI 1457149221) is an individual physician assistant in Venice, Florida, licensed in Florida (PA9120861) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, is affiliated with Shorepoint Health Port Charlotte, and maintains a secondary practice location in Port Charlotte.

NPPES Registry Identity

NPI1457149221

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. MARY BROOKE CALITRI

Location Address1700 E VENICE AVEVenice, FL 34292-3190

Mailing Address2675 Winkler Ave Ste 200Fort Myers, FL 33901-9328 · (941) 483-9760 · Fax (941) 483-9775

Phone(941) 483-9760

Fax(941) 483-9775

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateApril 30, 2025

Last NPPES UpdateJuly 15, 20262 updates tracked since enumeration

NPPES CertifiedJuly 15, 2026

✔ NPI 1457149221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in FL · PA9120861

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1700 E VENICE AVE, Venice, FL 34292

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Secondary Practice Location 1

Location 12500 Harbor BlvdPort Charlotte, FL 33952-5000 · Phone (941) 766-4255

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Mary Brooke Calitri is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557841434

PECOS Enrollment IDI20260218003303

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Shorepoint Health Port Charlotte

Acute Care Hospitals · Port Charlotte, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100077

Location2500 Harbor BlvdPort Charlotte, FL 33952 · Charlotte County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34292 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GULF COAST HMA PHYSICIAN MANAGEMENT LLC

Internal Medicine